Are You Currently Employed? Please Circle

New Britain Oils

Title / Surname
BLOCK CAPITALS
First Names
Previous Surname (if applicable)
Permanent Address / Next of Kin Name and Address
Telephone No / Mobile No

National Insurance

Number / Nationality
Date of Birth /

Email address

Age

Are you currently employed? Please circle

/ Yes / No / If so, what is your current position?
(Job Title)

What programme are you applying for? If you are not applying for an apprenticeship, please tick Traineeship. If you are applying for more than one course, please number i.e. 1 – first choice, 2 – second choice etc.

Fabrication
Welding
Electrical Maintenance
Mechanical Maintenance
Mechanical Engineering
Electronics

Where did you see these apprenticeships advertised? (please tick relevant boxes)

Career Connect Job Centre Plus Newspapers Social Media

Website Word of Mouth Other (please state)

PLEASE COMPLETE ALL SECTIONS IN BLACK INK

Please Note: The information submitted on this form will be treated as strictly private and confidential

Please return completed application forms by email to or by post to Reception

The Engineering College, Monks Ferry, Birkenhead, Wirral, CH41 5LH

Do you hold a current UK Driving Licence?

Yes

No

Have you been convicted of a criminal offence? If yes, please give details.

EDUCATION (Please give details from the age of 11)

School/College/Training Provider

From

To

G.C.S.E. Results Subject / Result
Grade / Projected
Grade / Subject / Result
Grade / Projected
Grade
English / Mathematics
Sciences / ICT
Tech Design
Other Qualifications and Level (If None Please Write N/A)
GNVQ / Level / Title
NVQ / Level / Title
Other / Level / Title
Key Skills Qualifications and Level (If None Please Write N/A)
Title / Level / Title / Level
Application of Number / Working With Others
Communication / Improving Own Learning
Information Technology / Problem Solving

Employment RecordPlease detail all previous employment, part time work or training schemes

From

Employer’s name, address and nature of business

Position held and main duties

Reason for leaving

ACCOMODATION
We need to know about your housing details in order to provide the best help to you. What are your current living arrangements (Please Tick) are you:
Living With Parents / Other Family Members / Own Flat
Own Bed Sit / Shared House / Other
If you have ticked other, please give details in the space provided below)
OTHER AGENCY INVOLVEMENT
Do you have regular contact with other agencies (Please Tick)
Social Services / Youth Offending Team / Youth Service
Alcohol / Drugs / Health Worker / Career Connect
Other
(If you have ticked other, please give details in the space provided below)
HEALTH
We need to be aware of your medical history so we can establish any support requirements. Please advise us of any medical conditions you have. This information will remain confidential.
(Please Tick)
Anxiety / Asthma / Blackouts / Diabetes
Epilepsy / Eyesight / Hearing / Skin Problems
Other
(If you have ticked other, please give details in the space provided below) so they can be discussed at interview.
DISABILITY
Do you have any form of disability (such as dyslexia, depression, physical or sensory impairment) which can be discussed at interview? so we can establish any support requirements you may need
Yes / No
(If you have ticked yes, please give details in the space provided below) This information will remain confidential.
MEDICATION
Are you taking any medication? (Please Tick) / Yes / No
(If you have ticked yes, please give details in the space provided below)
A CAREER IN ENGINEERING

Please answer all of the following questions in detail (Please continue on additional paper if required)

What interests you most about this apprenticeship?

What tasks or activities have you done that have involved aspects of this apprenticeship?

Describe a time when you have had to learn something new outside school or college?

Explain what you found difficult about it and what you did to overcome these difficulties?

Describe a situation where you have had to work on your own, explain what you enjoyed most and what you found difficult.

Describe a situation where you have had to work as a team, explain what you enjoyed most and what you found difficult.

Details of leisure and special interests

Give below any other information, which in your opinion, may be of interest in considering this application.

Include what skills/qualities/attributes you possess which equip you for this apprenticeship and why you are interested in applying.

ReferencesGive the names and addresses of two referees, both of which should be business or educational, from whom references can be obtained if required.

Name

/ /

Name

Relationship

/ /

Relationship

Address

Postcode

Contact Tel No.

Successful applications will be subject to proof of satisfactory GCSE grades and references.
Whilst The Engineering College will make every effort in finding a work placement, we trust you appreciate that this is not guaranteed. We would value your assistance in any leads or contacts you may have.
The Engineering College value diversity, celebrate difference and treat everyone with respect. We believe that all have the right to be valued and to have equality of opportunity.
I believe that the particulars given on this form are a correct and accurate statement of my experience and qualifications.
Signature / Date

OTHER INFORMATION

Coat / Overall Size / Small / Medium / Large / XL
Boot / Shoe Size

Please return completed application forms by email to or by post to Reception

The Engineering College, Monks Ferry, Birkenhead, Wirral, CH41 5LH

EC learner Application V2 March 2017